| Girard Medical Center Of Cherokee | |
|
120 Nw Hwy 400 Cherokee KS 66724-0000 | |
| (620) 457-8101 | |
| (620) 457-8103 |
| Full Name | Girard Medical Center Of Cherokee |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Nw Hwy 400, Cherokee, Kansas |
| Authorized Official Name and Position | Holly Koch (CFO) |
| Authorized Official Contact | 6207248291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Girard Medical Center Of Cherokee 302 N Hospital Dr Girard KS 66743-2000 Ph: (620) 724-8291 | Girard Medical Center Of Cherokee 120 Nw Hwy 400 Cherokee KS 66724-0000 Ph: (620) 457-8101 |
| NPI Number | 1912935552 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 3476464538 |
|---|---|
| Medicare Enrollment ID | O20030919000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912935552 | NPI | - | NPPES |
| 100004200J | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-019-001 (Kansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | H-019-001 (Kansas) | Primary |
Girard Medical Center Of Cherokee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Nw Highway 400, Cherokee, KS 66724 Phone: 620-457-8101 Fax: 620-457-8103 |